Studie risdiplamu u účastníků s spinální svalovou atrofií (SMA) typu I a typu II
Neintervenční multicentrická studie zkoumající výsledky léčby risdiplamem u pacientů s spinální svalovou atrofií typu I a typu II
This multicenter, non-interventional, prospective study with a retrospective component aims to evaluate the real-world clinical outcomes, safety profile, and motor function improvements of Risdiplam treatment in participants with Type I and Type II Spinal Muscle Atrophy over 24 months of treatment.
The study will allow retrospective collection of medical history data and previous participants visits from the medical records.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Studijní záloha kontaktů
- Jméno: Reference Study ID Number: ML45655 https://forpatients.roche.com/ No attachments to email below.
- Telefonní číslo: 888-662-6728 (U.S. Only)
- E-mail: global-roche-genentech-trials@gene.com
Studijní místa
-
-
-
Cairo, Egypt, 11566
- Nábor
- Neurology Department, Ain Shams University Hospitals
-
Cairo, Egypt, DUMMY_VALUE
- Nábor
- Air Force Specialized Hospital
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Metoda odběru vzorků
Studijní populace
The participants must have a confirmed diagnosis of 5q-autosomal recessive SMA type I or type II with at least two survival motor neuron 2 (SMN2) copies for which Risdiplam is prescribed as per the SmPC.
Popis
Inclusion Criteria:
- Maximum age to be 6 months for type I participants and 5 years for type II participants at the time of diagnosis.
- Participants must start/have started treatment with Risdiplam within 6 months of diagnosis.
- Participant to be receiving adequate nutrition and hydration at index date, in the opinion of the Investigator.
- Participant to be adequately recovered from any acute illness at the time index date.
Exclusion Criteria:
- Participants not receiving treatment for disease with Risdiplam according to standard of care and in line with the current summary of product characteristics (SPC)/local labeling.
- Participants not receiving the Roche studied medicinal product, but a biosimilar.
- Concomitant or previous administration in any investigational drug or device study.
- Concomitant or previous administration of approved treatment for SMA other than Risdiplam.
- Unstable gastrointestinal, renal, hepatic, endocrine or cardiovascular system diseases at index date.
- Participants requiring invasive ventilation or tracheostomy at index date.
- Participants requiring awake non-invasive ventilation due to respiratory insufficiency or with awake hypoxemia with or without ventilator support or with history of respiratory failure or severe pneumonia, and have not fully recovered their pulmonary function at the time of index date.
- Severe contractures of joints of lower limbs and upper limbs at the time of index date.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Observační modely: COHORT
- Časové perspektivy: PROSPECTIVE
Počet skupin / kohort
Kohorty a intervence
Skupina / kohortaSkupina / kohorta |
|---|
|
Risdiplam Observational Arm
Data will be collected before, during and after treatment from participants who receive risdiplam treatment according to standard of care and Summary of Product Characteristics (SmPC). Participant data will be collected only during routine clinical interactions, with no additional study visits mandated. |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change From Index Date in Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score at Month 12
Časové okno: Baseline, Month 12
|
CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by the World Health Organization (WHO). Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Month 12
|
|
Change From Index Date in Hammersmith Functional Motor Scale Expanded (HFMSE) Score at Months 12
Časové okno: Baseline, Months 12
|
HFMSE assessment is performed for participants who are ≥ 2 years and are sitters or walkers. Items on the original HFMS were expanded to capture higher functioning in SMA patients using 13 relevant additional items adapted from the gross motor function measure (GMFM) with their scoring adapted to a three-point scale as in the original HFMS. The score ranges between 0 - 66, a higher score indicates a higher level of function. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Months 12
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Celkové přežití v měsíci 24
Časové okno: Po 24 měsících
|
Po 24 měsících
|
|
|
Čas do ztráty funkce polykání hodnocený lékařem studie
Časové okno: Až do 24. měsíce
|
Až do 24. měsíce
|
|
|
Change From Index Date in CHOP-INTEND Score at Month 24
Časové okno: Baseline, Month 24
|
CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Month 24
|
|
Percentage of Participants with CHOP-INTEND Score Improvement ≥ 4 Points Compared to Index Date at Months 12 and 24
Časové okno: Baseline, Months 12 and 24
|
CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Months 12 and 24
|
|
Percentage of Participants with CHOP-INTEND Score ≥ 40 at Months 12 and 24
Časové okno: At Months 12 and 24
|
CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal orientated items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. |
At Months 12 and 24
|
|
Change From Baseline in HFMSE Score at Month 24
Časové okno: Baseline, Month 24
|
HFMSE assessment is performed for participants who are ≥ 2 years and are sitters or walkers. Items on the original HFMS were expanded to capture higher functioning in SMA patients using 13 relevant additional items adapted from the GMFM with their scoring adapted to a three-point scale as in the original HFMS. The score ranges between 0 - 66, a higher score indicates a higher level of function. Baseline visit correspond with the index date (D1) where the participant was administered the first dose of Risdiplam. |
Baseline, Month 24
|
|
Number of Participants who Require Ventilatory Assistance
Časové okno: Up to 2 years follow-up per participant
|
Invasive ventilation and non-invasive ventilation due to respiratory insufficiency. Participants on permanent ventilation and when using it as temporary respiratory support will be assessed. |
Up to 2 years follow-up per participant
|
|
Duration of Ventilation
Časové okno: Up to 2 years follow-up per participant
|
Number of hours spent per day of non-invasive or invasive ventilation. Duration for both permanent ventilation and when used as temporary respiratory support will be assessed. |
Up to 2 years follow-up per participant
|
|
Time Until Permanent Ventilation
Časové okno: Up to 2 years follow-up per participant
|
Time until permanent ventilation is defined as ≥ 16 hours of non-invasive ventilation per day or intubation for > 21 consecutive days in the absence of, or following the resolution of, an acute reversible event or tracheostomy. |
Up to 2 years follow-up per participant
|
|
Ventilation-free Survival
Časové okno: Up to 2 years follow-up per participant
|
Assessed by duration of time from a specified index date until the initiation of permanent ventilation. |
Up to 2 years follow-up per participant
|
|
Change From Baseline in Growth Pattern
Časové okno: Up to Month 24
|
Growth patterns will be compared to standardized growth charts. |
Up to Month 24
|
|
Number of Participants With Musculoskeletal Abnormalities
Časové okno: Up to Month 24
|
Musculoskeletal abnormalities include scoliosis, kyphosis or other deformities |
Up to Month 24
|
|
Bulbar Function as Assessed by the Study Physician Versus Baseline
Časové okno: Up to Month 24
|
Bulbar function measures the ability to feed orally, chew, and ability to swallow versus baseline data. It also assesses the speaking and crying functions of the participant. |
Up to Month 24
|
|
Number of Participants With Adverse Events (AE) Serious Adverse Events (SAE)
Časové okno: Up to 2 years follow-up per participant
|
Data for incidence, seriousness, severity, and relatedness of all AEs reported or documented in medical notes by physicians during the safety observation period will also be reported. |
Up to 2 years follow-up per participant
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: Clinical Trials, Hoffmann-La Roche
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- ML45655
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .